Offering Patients Messages Via Their Preferred Method of 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your email address and phone numbers in the designated fields. This information is crucial for receiving appointment reminders.
  3. Indicate your preferred contact method by selecting from options such as text, home phone, cell, or email. This ensures you receive messages through your chosen channel.
  4. Complete the sections regarding your family doctor and referring physician, including their names and contact numbers for seamless communication.
  5. Review the consent statements regarding HIPAA-protected information and voicemail messages. Ensure you agree before proceeding.
  6. Finally, sign and date the form at the bottom to confirm your understanding and agreement with the policies outlined.

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